Organization
FAST SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY C ECHUCK CSFA (PRESIDENT)
(770) 480-1311
Entity
Organization
Contact information
Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5100
Mailing address
PO BOX 1186, BALL GROUND, GA 30107-1102
(770) 480-1311
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
153136
GA
246ZS0410X
Surgical Technologist
151286
GA
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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